Nicole Fuller, - Medicare Dietitian in Glen Rock, NJ

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Nicole Fuller, is a medicare enrolled "Dietitian, Registered" provider in Glen Rock, New Jersey. Her current practice location is 11 Austin Pl, Glen Rock, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 739-9161.

Nicole Fuller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922615210.

Contact Information

Nicole Fuller,
11 Austin Pl,
Glen Rock, NJ 07452-1701
(201) 739-9161
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Fuller
GenderFemale
SpecialityDietitian, Registered
Location11 Austin Pl, Glen Rock, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922615210
  • Provider Enumeration Date: 09/30/2020
  • Last Update Date: 09/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709261456
  • Enrollment ID: I20220915001777

Medical Identifiers

Medical identifiers for Nicole Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922615210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Fuller allows following entities to bill medicare on her behalf.
Provider NameDiamond Nutrition Counseling, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437794310
PECOS PAC ID: 0941637599
Enrollment ID: O20200221000095

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Fuller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Fuller,
11 Austin Pl,
Glen Rock, NJ 07452-1701

Ph: (201) 739-9161		Nicole Fuller,
11 Austin Pl,
Glen Rock, NJ 07452-1701

Ph: (201) 739-9161

Reviews and Comments


Dietitian, Registered in Glen Rock, NJ

Rachel Rubin,
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 586 Rock Rd, Glen Rock, NJ 07452
Phone: 201-602-5824    
Mrs. Janet Brancato, M.S., R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 4 Hanover Pl, Glen Rock, NJ 07452
Phone: 201-803-1423    Fax: 201-612-1225
Nutopia, Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 4 Hanover Pl, Glen Rock, NJ 07452
Phone: 201-803-1423    
Aisling N Whelan, RDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 50 Oak Knoll Rd, Glen Rock, NJ 07452
Phone: 347-738-3734    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.